April 6, 2019

European S2k Guideline on Chronic Pruritus

Elke Weisshaar, Jacek C. Szepietowski, Florence J. Dalgard, Simone Garcovich, Uwe Gieler, Ana M. Giménez-Arnau, Julien Lambert, Tabi Leslie, Thomas Mettang, Laurent Misery, Ekin Şavk, Markus Streit, Erwin Tschachler, Erwin Tschachler, Joanna Wallengren, Sonja Ständer
DOI: 10.2340/00015555-3164 

Abstract

Pruritus is a frequent symptom in medicine. Population-based studies show that every 5th person in the general population has suffered from chronic pruritus at least once in the lifetime with a 12-month incidence of 7%. In patient populations its frequency is much higher depending on the underlying cause, ranging from around 25% in haemodialysis patients to 100% in skin diseases such as urticaria and atopic dermatitis (AD). Pruritus may be the result of a dermatological or non-dermatological disease. Especially in non-diseased skin it may be caused by systemic, neurological or psychiatric diseases, as well as being a side effect of medications. In a number of cases chronic pruritus may be of multifactorial origin. Pruritus needs a precise diagnostic work-up. Management of chronic pruritus comprises treatment of the underlying disease and topical treatment modalities, including symptomatic antipruritic treatment, ultraviolet phototherapy and systemic treatment. Treating chronic pruritus needs to be targeted, multimodal and performed in a step-wise procedure requiring an interdisciplinary approach. We present the updated and consensus based (S2k) European guideline on chronic pruritus by a team of European pruritus experts from different disciplines. This version is an updated version of the guideline that was published in 2012 and updated in 2014 (www.euroderm.org).
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April 2, 2019

Management of Ocular Allergy Itch With an Antihistamine-Releasing Contact Lens

Pall, Brian, OD, MS*; Gomes, Paul, MS; Yi, Frank, MS*; Torkildsen, Gail, MD

doi: 10.1097/ICO.0000000000001911
Clinical Science: PDF Only
OPEN
SDC
PAP
Purpose: A contact lens (CL)-based drug delivery system for therapeutic delivery of the antihistamine ketotifen was tested in 2 parallel, conjunctival allergen challenge-based trials.

April 1, 2019

Severe anaphylaxis after pelvic examination: a case report of dual latex and chlorhexidine allergies

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Abstract

Background
Natural rubber latex and chlorhexidine have previously been identified as causative substances in perioperative anaphylaxis. A pelvic examinations is generally considered noninvasive, however, this procedure is rarely associated with severe allergic reactions.

March 29, 2019

World Allergy Congress Lyon 2019 : Novel therapies in skin allergic diseases.


ANT CONGRES
 
FOCUS ON OUR PLENARY SESSIONS
 
“Novel therapies in skin allergic diseases”
 
Atopic dermatitis (AD) is the most prevalent skin allergy. Not surprisingly, there has been increasing interest in developing experimental approaches to study the pathogenesis of human AD in vivo, in vitro, and in silico to better define pathophysiologic mechanisms and identify novel therapeutic targets and biomarkers that predict therapeutic response. 

March 26, 2019

Physician Confidence in Artificial Intelligence: An Online Mobile Survey

Original Paper


1Division of Nephrology, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Republic of Korea
2Department of Urology, Soonchunhyang University Hospital, Seoul, Republic of Korea
3Department of Orthopedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea
4Department of Internal Medicine, New York Medical College, New York Health Hospital, New York, NY, United States

ABSTRACT

Background: It is expected that artificial intelligence (AI) will be used extensively in the medical field in the future.
Objective: The purpose of this study is to investigate the awareness of AI among Korean doctors and to assess physicians’ attitudes toward the medical application of AI.

March 22, 2019

The Allergic Rhinitis Control Test Questionnaire Is Valuable in Guiding Step-Down Pharmacotherapy Treatment of Allergic Rhinitis

The Journal of Allergy and Clinical Immunology: In Practice




Background
Allergic Rhinitis Control Test (ARCT) has been validated in the allergic rhinitis (AR) step-up pharmacotherapy management approach.
Objective
The aim of our study was to evaluate the potential of ARCT in AR step-down pharmacotherapy.

March 20, 2019

A longitudinal study of cannabis use increasing the use of asthma medication in young Norwegian adults

  • Research article
  • Open Access
  • Open Peer Review
BMC Pulmonary Medicine
BMC Pulmonary Medicine201919:52
Open Peer Review reports

Abstract

Background
A small number of studies have shown that the use of cannabis increases the risk of bronchial asthma. There is, however, a paucity of longitudinal studies which are able to control for known risk factors of bronchial asthma.

Comparison of therapeutic effects of inhaled corticosteroids on three subtypes of cough variant asthma as classified by the impulse oscillometry system

  • Research
  • Open Access

Respiratory Research
Respiratory Research201920:41

Abstract

Background
Cough variant asthma (CVA) is one of the most common causes of chronic persistent cough, and early treatment with inhaled corticosteroids (ICSs) is recommended to attenuate the inflammation and remodeling.